| NPI | 1124864111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2882) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2024020536) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |