NPI | 1679199822 |
---|---|
Other Name | TIE CRISI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5848) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3321) |
152W00000X Optometrist (Licence: NY 009913) | |
Enumeration Date | 2020-06-24 |
Last Update Date | 2023-10-05 |