NPI | 1447546718 |
---|---|
Professional Name | SHELLY LEE SKJOLAA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3402-35) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007713) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2016-06-16 |