| NPI | 1114373560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3539) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010997) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-12-21 |