| NPI | 1144176801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2475DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004684A) |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-07-29 |