| NPI | 1558672592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003630A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003630B) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2021-01-19 |