| NPI | 1942535265 |
|---|---|
| Former Name | DANICA MALEINE TEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 171318) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004551) |
| 152W00000X Optometrist (Licence: KY 1933DT) | |
| 152W00000X Optometrist (Licence: OH 5914) | |
| 152W00000X Optometrist (Licence: IN 18003619A) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2021-04-01 |