| NPI | 1598037780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33861) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010969) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2018-01-30 |