| NPI | 1063491553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3940-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 449) |
| 152W00000X Optometrist (Licence: IL 046010746) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-02-09 |