| NPI | 1881002855 |
|---|---|
| Former Name | VICTORIA ROSE PRICHODKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2014025418) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MO 2014025418) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-11-03 |