| NPI | 1598210213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011063) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9270) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |