| NPI | 1760008312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011576) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT OPT-OPT-LIC-3894) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2022-04-05 |