| NPI | 1427293638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8367) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010169) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-01-05 |