| NPI | 1932179942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2384) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T003012) |
| 152W00000X Optometrist (Licence: TN 2863) | |
| 152WP0200X Optometrist Pediatrics (Licence: AR 2384) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-12-08 |