| NPI | 1629700125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35160) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011635) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-08-19 |