| NPI | 1497830848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-813) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1817) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-01-12 |