| NPI | 1205404472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3722-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011519) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-05-16 |