| NPI | 1992385009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2843) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3107) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-07-21 |