NPI | 1609135383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010754) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3456AT) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2025-07-17 |