| NPI | 1831166107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1834) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003180) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2021-07-20 |