NPI | 1922828573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011996) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11283T) |
Enumeration Date | 2024-10-16 |
Last Update Date | 2025-07-17 |