NPI | 1578018966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2324) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011053) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2023-03-16 |