| NPI | 1457370405 |
|---|---|
| Former Name | MICHELLE BEACHKOFSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2436) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001700) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-10-04 |