| NPI | 1720089865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009519) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: SC 1173) |
| 152WP0200X Optometrist Pediatrics (Licence: IL 046-009519) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2009-04-15 |