| NPI | 1699025486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010604) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003748A) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |