| NPI | 1033585161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2016029774) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011064) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-08-17 |