| NPI | 1932635505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004049) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 011119) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-01-09 |