NPI | 1023373743 |
---|---|
Former Name | MEGAN MCPHAIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5069) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003752A) |
152W00000X Optometrist (Licence: RI ODTG00580) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2022-02-24 |