| NPI | 1225326242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003714ab) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R-225-TA-983) |
| 152W00000X Optometrist (Licence: KY 1841DT) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-09-20 |