NPI | 1487968962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010725) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046010725) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2013-08-20 |