| NPI | 1285917377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010623) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4870) |
| 152WP0200X Optometrist, Pediatrics (Licence: IL 046010623) | |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2020-07-29 |