NPI | 1689394884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011811) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3769) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2023-11-17 |