| NPI | 1992936892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2881) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-C15-TA-826) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-04-15 |