| NPI | 1922807189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2432DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004576A) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-06-24 |