| NPI | 1285043943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5308) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046010827) |
| 152W00000X Optometrist (Licence: IL 046010827) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-05-07 |