| NPI | 1134624240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003062) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011167) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-01-20 |