| NPI | 1124045893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 002446) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003413) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-02-03 |