| NPI | 1790463024 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1660)  | 
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3836)  | 
| Enumeration Date | 2023-07-07 | 
| Last Update Date | 2025-09-11 |