| NPI | 1801314794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011148) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1986932AT) |
| 152W00000X Optometrist (Licence: GA opt003405) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-10-06 |