| NPI | 1396824280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-1040) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001483) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-08-28 |