NPI | 1396911038 |
---|---|
Former Name | YOLANDA BOGARIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0003088) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC 0003088) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2008-05-02 |