| NPI | 1992889075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003416A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1670dt) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-06-14 |