NPI | 1033585161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2016029774) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011064) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2023-08-17 |