| NPI | 1154637254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003698A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010351) |
| 152W00000X Optometrist (Licence: WI 3202-35) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-04-29 |