| NPI | 1205957990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003191A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2309) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-08-15 |