NPI | 1164787727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010559) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046010559) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2013-05-31 |