| NPI | 1952595589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1652) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009986) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-05-04 |