| NPI | 1740809854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003823) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004214A) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-07-23 |