| NPI | 1881606200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2002002532) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009514) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-05-19 |