| NPI | 1881325496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011742) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC OPT.2359) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-08-08 |