| NPI | 1326270182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010511) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004493) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2025-08-13 |