| NPI | 1295161511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010852) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2678) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2021-06-29 |