| NPI | 1942981576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3865) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1999-945AT) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-08-05 |