| NPI | 1639857055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3978) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 1073P-Y) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2026-08-04 |