NPI | 1144217035 |
---|---|
Former Name | YVONNE DENISE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1179) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8631T) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2023-12-06 |