| NPI | 1386257350 |
|---|---|
| Former Name | SHIRLEY BEN-ELAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5854) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC5854) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-07-26 |