| NPI | 1780781567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 46009776) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 0469776) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-05-27 |