| NPI | 1619950151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046008012) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046008012) |
| 152W00000X Optometrist (Licence: IL 046008012) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2011-11-14 |