NPI | 1639332935 |
---|---|
Former Name | KATIE TERESE BIGARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3166) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002425) |
152W00000X Optometrist (Licence: MI 4901004478) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2024-06-13 |