| NPI | 1639854359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011820) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2023023886) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-09-30 |