| 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 |