| NPI | 1710115886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 816) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010206) |
| 152WP0200X Optometrist, Pediatrics (Licence: IL 046010206) | |
| 152WP0200X Optometrist, Pediatrics (Licence: MT 816) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-06-28 |