| NPI | 1992860373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 0046-009007) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 047-930812) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |