| NPI | 1154480911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003936AB) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA opt002409) |
| 152W00000X Optometrist (Licence: MI 4901004315) | |
| 152W00000X Optometrist (Licence: TN 2916) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2019-05-03 |