| NPI | 1477669117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13159T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009466) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-02-05 |