| NPI | 1235161035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003626A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009867) |
| 152W00000X Optometrist (Licence: KY 1800DT) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-07 |