NPI | 1871908863 |
---|---|
Former Name | MARIA T CUCURAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010822) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046010822) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2016-12-09 |