| 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 |