| NPI | 1285659532 |
|---|---|
| Former Name | VERONICA MARIETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003918) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 5330000452) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-11-15 |