NPI | 1598037780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33861) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010969) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2018-01-30 |