| NPI | 1265664502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010256) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002806) |
| 152W00000X Optometrist (Licence: NY TUV007672) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-12-18 |