| NPI | 1831477215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003780A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14272) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-09-09 |