| NPI | 1740263573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: IL 46-6963) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: IL 466963) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2017-01-03 |