| NPI | 1184295040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-992) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4582) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-08-28 |