| NPI | 1750747283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1986DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003915A) |
| 152W00000X Optometrist (Licence: IN 18003915B) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2017-02-06 |