| NPI | 1447874060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011423) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046011423) |
| 152WV0400X Optometrist, Vision Therapy (Licence: IL 0466011423) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |