NPI | 1689027831 |
---|---|
Former Name | ASHLEY TESSIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3596) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008406) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2023-12-22 |