NPI | 1952349995 |
---|---|
Former Name | MINDY K YANTZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1237) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NH 0739) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2015-01-14 |