| NPI | 1669760799 |
|---|---|
| Former Name | MELISSA MARIE GORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT3248) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4972) |
| 152W00000X Optometrist (Licence: NY 56 007744) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-08-15 |