| NPI | 1316900160 |
|---|---|
| Other Name | TERESA AMELIA BEELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004861) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR O.D.#455D.P.A.143) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-01-24 |