| NPI | 1912685363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT1089) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011766) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-06-11 |