| NPI | 1922012814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8526T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009870) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-01-28 |