| NPI | 1588173140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3663-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011150) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2021-04-14 |