| NPI | 1972771301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010137) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056007554) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-10-20 |