| NPI | 1861129108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011670) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6088) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |