| NPI | 1295022127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010453) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004691) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-03-03 |