| NPI | 1245677418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1750) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003778A) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-03-22 |