| NPI | 1164526562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010621) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2236) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-10-21 |