| NPI | 1528058443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009096) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046009096) |
| Enumeration Date | 2005-10-22 |
| Last Update Date | 2023-10-20 |