| NPI | 1366556300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1562) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002741) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-10-01 |