| NPI | 1093292849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011723) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2989) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-07-07 |