| NPI | 1083866354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004164A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010173) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2025-10-24 |