| NPI | 1568766509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 46010497) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14094) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2018-08-30 |