| NPI | 1205368164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0003419) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011107) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2019-01-29 |