| NPI | 1265728356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003674A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1858DT) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-11-07 |