NPI | 1801863980 |
---|---|
Former Name | IRENE M FERENAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5305) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001401) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2021-01-13 |