| NPI | 1992843007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046007055) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 46-7055) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-01-18 |