| NPI | 1396973947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1765DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003586A) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-07-01 |