| NPI | 1942430400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003620A/B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1782DT) |
| 152W00000X Optometrist (Licence: MO 2009017113) | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2023-09-18 |