| NPI | 1801914007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009825) |
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: OR 3190 AT) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-05-22 |