| NPI | 1437191491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009414) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5182) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |