| NPI | 1346760725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011182) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008580-1) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY TUV008580-1) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-01-18 |