| NPI | 1427191881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3138-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-009524) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-12-07 |