NPI | 1134190127 |
---|---|
Former Name | JILL JENNIFER RODIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00133400) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006807) |
152W00000X Optometrist (Licence: PA OEG001688) | |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00593800) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2018-12-19 |