NPI | 1851640932 |
---|---|
Former Name | MELISSA SPITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002561) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010618) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2019-12-06 |