| NPI | 1215019864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046008108) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046008108) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-04-08 |