| NPI | 1881979136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010519) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2024-05-06 |