| NPI | 1558930107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 122652) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004272A) |
| 152W00000X Optometrist (Licence: KY 2233DT) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-06-20 |