| NPI | 1932540556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15092) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010685) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-06-15 |