| NPI | 1366115206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011554) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11074T) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-05-07 |