| NPI | 1053908244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004309A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 365635) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2025-05-19 |