| NPI | 1477840478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 703) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3287) |
| 152W00000X Optometrist (Licence: IN 18003680A) | |
| 152W00000X Optometrist (Licence: WI 3261-35) | |
| 152WP0200X Optometrist, Pediatrics (Licence: IN 18003680A) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-03-22 |