| NPI | 1871656710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002373) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-008921) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-13 |