| NPI | 1740017235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0004100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-011923) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-07-28 |