| NPI | 1023236882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002544A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1446) |
| 152W00000X Optometrist (Licence: WI 2408) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-05-01 |