| NPI | 1245090729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2393dt) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004522A) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-08-15 |