| NPI | 1437950268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2461DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004599A) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-10-07 |