NPI | 1942827043 |
---|---|
Former Name | JULIANNE MARIE GOLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2752) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT4583) |
152W00000X Optometrist (Licence: OH 006878) | |
152W00000X Optometrist (Licence: MD TA2908) | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-10-30 |