| NPI | 1295080687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010598) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002289) |
| 152W00000X Optometrist (Licence: MA 4959) | |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2021-11-17 |