| NPI | 1295020113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010495) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4667) |
| 152W00000X Optometrist (Licence: TX 9075) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-03-17 |