| NPI | 1528065612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1471DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003026) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-06-26 |