| NPI | 1497769780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003482A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009844) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-03-25 |