NPI | 1760745871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3589-35) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010557) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046010557) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2019-10-21 |