| NPI | 1134433170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4670) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010378) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2016-04-02 |