| NPI | 1255983847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011428) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002357) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-08-02 |