| NPI | 1053780080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003485) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010914) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-04-03 |