| NPI | 1366964496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-272-TA-B38) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002970A) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-03-07 |