| NPI | 1710539283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002739) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-920) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-09-09 |