| NPI | 1750867206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004201A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011192) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-05-02 |