| NPI | 1790268431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: IN 18004125) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011606) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-04-27 |