NPI | 1861436297 |
---|---|
Former Name | JULIA LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000108) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1902) |
152W00000X Optometrist (Licence: VA 0618001459) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-02-03 |