NPI | 1487221909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3812) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011523) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2024-03-20 |