| NPI | 1700966355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002492A) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: IN 8002492B) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-09-09 |