NPI | 1649611831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008032-1) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010733) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2018-03-17 |