| NPI | 1467494492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R147TA686) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002717B) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-10-15 |