| NPI | 1952601544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002258) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003830) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2025-11-17 |