| NPI | 1235519190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010889) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2015017826) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-07-11 |