| NPI | 1811048929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-007834) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046-007834) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-05-04 |