NPI | 1477579316 |
---|---|
Former Name | KRISTINA RUTH SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003396A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004328) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2019-09-03 |