| NPI | 1902859812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002529B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004111) |
| 152W00000X Optometrist (Licence: IN 18002529A) | |
| 152W00000X Optometrist (Licence: WI 2413-35) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-04-03 |