| NPI | 1578121349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011507) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2122) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-02-02 |