| NPI | 1194203067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2789) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: AR 2789) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-04-17 |