NPI | 1063491553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3940-35) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PR 449) |
152W00000X Optometrist (Licence: IL 046010746) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2024-02-09 |