| NPI | 1386873917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2384) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003606A) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-03-07 |