| NPI | 1356687412 |
|---|---|
| Former Name | ELIZABETH MARIE NAVITSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2012028150) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010641) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2022-08-29 |