| NPI | 1194548180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011933) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 046011933) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |