| NPI | 1346690526 |
|---|---|
| Former Name | SAMANTHA RAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 003025) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 003025) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-05-21 |