| NPI | 1134425747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-784) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: HI OD-784) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2023-04-27 |