| NPI | 1497865810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD 2038) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4281) |
| 152W00000X Optometrist (Licence: IL 046009681) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-01-04 |