| NPI | 1013302769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004295A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2428) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-09-22 |