| NPI | 1326480476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15197) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010706) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-07-24 |