NPI | 1134807506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005759) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011769) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2024-07-25 |