NPI | 1750839742 |
---|---|
Former Name | ALYANNA ACALA SCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60903815) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4053ATI) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2024-07-30 |