NPI | 1568569853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 047930981) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL MM1242457) |
152W00000X Optometrist (Licence: IN 18002669B) | |
152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 346002197) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |