| NPI | 1639164247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009376) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 046009376) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-05-17 |