| NPI | 1659340925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 005607) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-009932) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-07-23 |