| NPI | 1083072573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010963) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 346003744) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2023-11-17 |