| NPI | 1790346104 |
|---|---|
| Other Name | LARIESA NELLIE SCHWAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2690) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003206) |
| 152W00000X Optometrist (Licence: MT OPT-OPT-LIC-4605) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-08-07 |