| NPI | 1669417325 |
|---|---|
| Former Name | JOLA RZEGOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2218) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002623) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-03-15 |