| NPI | 1376534248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3687TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008028) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |