| NPI | 1669854675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.012063) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3253) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2026-06-09 |