| NPI | 1477006971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2038DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003995A) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2023-03-07 |