| NPI | 1568569853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL MM1242457) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002669B) |
| 152W00000X Optometrist | |
| 152WC0802X Optometrist Corneal and Contact Management | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |