| NPI | 1205240124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1897) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010814) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-05-31 |