| NPI | 1073186623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011662) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1551) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-10-01 |