| NPI | 1538231626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4197) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 46009886) |
| 152W00000X Optometrist (Licence: IL 046009886) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-11-28 |