| NPI | 1043332059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA i15328) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-008550) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-09-10 |