| NPI | 1821089970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 346-002250) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 047-931404) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |