| NPI | 1386953461 |
|---|---|
| Former Name | CRYSTAL MARIE INSAURRALDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60391130) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3987-35) |
| 152W00000X Optometrist (Licence: NE 1635) | |
| 152W00000X Optometrist (Licence: AZ OPT-002711) | |
| 152W00000X Optometrist (Licence: OR ATI3504) | |
| 152W00000X Optometrist (Licence: PA OEG004008) | |
| 152W00000X Optometrist (Licence: FL TPOP146) | |
| 152W00000X Optometrist (Licence: GA OPT003534) | |
| 152W00000X Optometrist (Licence: MD TA2910) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2024-05-30 |