NPI | 1346403094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist Pediatrics (Licence: AZ 1831) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010117) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2015-08-05 |