| NPI | 1710902085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002133A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002133B) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-11-15 |