| NPI | 1306030408 |
|---|---|
| Former Name | KRISTY CHMILEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001729) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5708) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2020-09-11 |