NPI | 1477618833 |
---|---|
Former Name | JOANNA PLAVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3135) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 3135) |
152WP0200X Optometrist, Pediatrics (Licence: OR 3135) | |
152WV0400X Optometrist, Vision Therapy (Licence: OR 3135) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-11-16 |