| NPI | 1497195093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010653) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5013) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-06-13 |