| NPI | 1366414138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002629A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003190) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2026-04-30 |