| NPI | 1013391077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010862) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003909A) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2021-12-07 |