NPI | 1417683996 |
---|---|
Professional Name | BROOKE JUSTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP2000539) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2869) |
152W00000X Optometrist (Licence: VA 0618003148) | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2024-04-18 |