| NPI | 1255473948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002163A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002163B) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-11-10 |