| NPI | 1962973693 |
|---|---|
| Former Name | CHRISTINE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002814) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T008875-1) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-09-08 |