| NPI | 1568198398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011653) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003478) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-05-05 |