| NPI | 1124135983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009856) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007063) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-09-05 |