| NPI | 1841284296 |
|---|---|
| Former Name | RADHIKA PAVULURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2001019373) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1607) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-09-13 |