| NPI | 1366691586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00547) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010153) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-08-07 |