NPI | 1437279338 |
---|---|
Former Name | VICTORIA L ONDIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003848) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2007032814) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2024-07-25 |