| NPI | 1053603837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010513) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 004541) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2021-09-13 |