| NPI | 1184986093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 327835) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010551) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2013-11-19 |