| NPI | 1144116559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004601A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2452DT) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-08-05 |