| NPI | 1326474735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010667) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003820) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-03-06 |