| NPI | 1578979209 |
|---|---|
| Former Name | REBECCA JEAN SHAPIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1969) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002338) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2017-02-20 |