| NPI | 1033742374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004209A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004209AB) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2021-08-17 |