NPI | 1205240124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1897) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010814) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-05-31 |