| NPI | 1831124726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003956A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP-100135) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-09-22 |