| NPI | 1922362342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004073A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011173) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-12-01 |