| NPI | 1255642534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003972A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010349) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-09-25 |