| NPI | 1366606873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003481A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010308) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-02-12 |