| NPI | 1366778839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14123) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010301) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2014-10-20 |