| NPI | 1346728177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011225) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 2166) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-10-06 |