| NPI | 1396242533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3547) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011193) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-10-05 |