| NPI | 1649611831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008032-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010733) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-03-17 |