| NPI | 1477698082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41349153) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-07-17 |