| NPI | 1295331064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3651-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011479) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-08-31 |