| NPI | 1093235236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004085A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI Unknown) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-08-12 |