| NPI | 1790166767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3227) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003993A) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-08-29 |