| NPI | 1902069859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14080) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010107) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-12-10 |