| NPI | 1801319884 |
|---|---|
| Former Name | GERGANA VLADIMIROVA GRIGOROVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33718TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33718TLG) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-05-16 |