| NPI | 1629227491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003552A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1751DT) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-08-18 |