| NPI | 1801153192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003845A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2853) |
| 152W00000X Optometrist (Licence: IL 046010717) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2015-01-06 |