| NPI | 1669624052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14361) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010147) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-06-19 |