| NPI | 1003299256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID 100495) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010887) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-04-19 |