| NPI | 1972647519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 741) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2618) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-10-02 |