| NPI | 1912345190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010666) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046010666) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |