| NPI | 1386965820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-010367) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010367) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-03-24 |