| NPI | 1386228880 |
|---|---|
| Former Name | STEPHANIE LYNN SLIFKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT.2316) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006941) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-01-04 |