| NPI | 1235204694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4108) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010253) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-05-30 |