NPI | 1275971129 |
---|---|
Former Name | ASHLEY K VUKELICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003862A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003862B) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2018-03-17 |