NPI | 1285085548 |
---|---|
Former Name | DOMINIQUE GARCIA ROBLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3587) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6526) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2022-08-12 |