| NPI | 1104104959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036144972) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125059144) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036144972) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2022-12-28 |