NPI | 1093870669 |
---|---|
Former Name | FELICIA SOROLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5075TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5075T) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2012-07-11 |