NPI | 1386641439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010872) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1069) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-07-21 |