NPI | 1356570907 |
---|---|
Former Name | GRACE MORANO-SALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7524TG) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: TX 7524TG) |
Enumeration Date | 2009-07-03 |
Last Update Date | 2021-12-16 |