NPI | 1235204694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4108) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010253) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2023-05-30 |