| NPI | 1396064515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003653A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010347) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-07-21 |