| NPI | 1497222772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002693) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011230) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |