| NPI | 1437827995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003738) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004281A) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-09-01 |