| NPI | 1447632187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011066) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2015019033) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-03-17 |