| NPI | 1265552046 |
|---|---|
| Other Name | "TERRI" BROCA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1713) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV 007017) |
| 152W00000X Optometrist (Licence: NV 617) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-10-03 |