| NPI | 1801462510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61433774) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011545) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-07-17 |