| NPI | 1457979197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 100031) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011426) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-03-14 |