| NPI | 1811581184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004503A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003758) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-11-04 |