| NPI | 1356726194 |
|---|---|
| Former Name | JULIETTE MAKIJEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60661194) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2077) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2021-04-27 |