| NPI | 1366882763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010683) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004250A) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2025-01-08 |