| NPI | 1639383599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02281) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009147) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |