| NPI | 1760745871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3589-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010557) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046010557) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-10-21 |