| NPI | 1013564111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3581-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011367) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-05-09 |