| NPI | 1912044439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009462) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009462) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-10-12 |