| NPI | 1427258458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6242-T3157) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009953) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2014-08-07 |