| NPI | 1447388905 |
|---|---|
| Professional Name | PATRICIA GRACE BONOMOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002423) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12940t) |
| 152W00000X Optometrist (Licence: NY 006834tuv) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-05-29 |