NPI | 1528555778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011189) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003153) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2019-11-11 |