NPI | 1922587591 |
---|---|
Former Name | ASHLYN DEHOOGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 126441) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011231) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2024-09-20 |