| NPI | 1104443720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011752) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34826) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-08-17 |