| NPI | 1528027372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1729) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002796B) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-10-03 |