| NPI | 1205941895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009520) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: IL 046009520) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-05-22 |