| NPI | 1033696877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011295) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2969) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-08-22 |