| NPI | 1699852061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002137A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002137B) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-19 |