| NPI | 1609135383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010754) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3456AT) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2025-07-17 |