| NPI | 1083191555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2787) |
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: AR 2787) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-03-16 |