| NPI | 1427316918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010723) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002866) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2013-09-10 |