| NPI | 1326239930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1705DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003459) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2014-02-19 |