| NPI | 1487221909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3812) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011523) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-03-20 |