| NPI | 1962980607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004313A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0003411) |
| 152W00000X Optometrist (Licence: CA 34697) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-02-15 |