| NPI | 1528475076 |
|---|---|
| Former Name | LAURA VERWILST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003918A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010802) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-10-21 |