NPI | 1558880633 |
---|---|
Former Name | MARNI HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011195) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: IL 046011195) |
Enumeration Date | 2017-09-11 |
Last Update Date | 2023-12-04 |