NPI | 1285622639 |
---|---|
Former Name | VERONICA MOLINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003290A,B) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1459) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2010-11-08 |