| NPI | 1487810313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010061) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2761) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2013-01-11 |