| NPI | 1134289739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009698) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2004018250) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-10-02 |