| NPI | 1306000120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4686) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003516A) |
| 152W00000X Optometrist (Licence: NH 0819) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-10-10 |