| NPI | 1982868188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010120) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14656) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-02-23 |