| NPI | 1467782383 |
|---|---|
| Former Name | CHANDA LEE HJELMGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001402) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3803) |
| 152W00000X Optometrist (Licence: DC OP1000090) | |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2014-09-30 |