| NPI | 1013243161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010960) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4469) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2016-09-20 |