NPI | 1700335718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003206) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011070) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2024-03-07 |