| NPI | 1376554857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: IL 046009884) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009884) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-09-10 |