| NPI | 1831750652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011421) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004170A) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-10-20 |