NPI | 1255021606 |
---|---|
Other Name | LYDIE T TUBENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009832) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003365) |
Enumeration Date | 2023-05-09 |
Last Update Date | 2024-05-13 |