| NPI | 1104201029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004010A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004010B) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-01-09 |