NPI | 1134534233 |
---|---|
Former Name | NATALYA ARCHULETA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60714399) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008168) |
152W00000X Optometrist (Licence: NC 2684) | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2023-05-31 |