NPI | 1295726040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: IL 046008743) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008743) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2023-01-16 |