| NPI | 1437750247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011486) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2024-03-04 |