| NPI | 1598076895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003636A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010477) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-04-11 |