| NPI | 1871721399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002457) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010250) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-11-14 |