| NPI | 1265562995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 989) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002331B) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-12-08 |