| NPI | 1851432504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009930) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-06-27 |