NPI | 1265590244 |
---|---|
Former Name | VICTORIA MARIE CAPOTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007101-1) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00606000) |
152W00000X Optometrist (Licence: PA OEG001787) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-04-02 |