| NPI | 1982017851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010772) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010772) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046.010772) | |
| 152WP0200X Optometrist, Pediatrics (Licence: IL 046.010772) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2022-01-27 |