NPI | 1619350592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004068) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010909) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2020-04-28 |