| NPI | 1669514709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 47-930067) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-06-02 |