| NPI | 1083346910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004466A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR ATI-4641) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-03-10 |