| NPI | 1780065771 |
|---|---|
| Former Name | LAURA ZINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL Opc5188) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8698T) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-09-24 |