NPI | 1154798999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010972) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3449) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2017-10-04 |