| NPI | 1356404248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.007794) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 46-007794) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-01-11 |