| NPI | 1700982915 |
|---|---|
| Former Name | KRISTINA T ZETLMEISL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03484) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |