NPI | 1841545605 |
---|---|
Former Name | INNA POLISHCHUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007869) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10116TG) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2025-09-05 |