| NPI | 1861272916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011802) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004456A) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2025-11-14 |