| NPI | 1720341795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2565) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010550) |
| 152W00000X Optometrist (Licence: CA 33401) | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2023-01-19 |