| NPI | 1871586289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2135DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009035) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-07-10 |