| NPI | 1417583089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP2000579) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011394) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2024-09-16 |