NPI | 1629613146 |
---|---|
Former Name | ERICA ARKISZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD611324421) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34457) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2024-01-03 |