| NPI | 1780491555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2423DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004549A) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |