| NPI | 1871854794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT.1877 OPT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003726A) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-01-29 |