NPI | 1295045615 |
---|---|
Former Name | LAUREL YANOF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA4958) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VT 030.0069780) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2020-08-07 |