| NPI | 1619303070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011688) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MO 2015012694) |
| 152W00000X Optometrist (Licence: MO 2015012694) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2022-08-30 |