NPI | 1023632478 |
---|---|
Former Name | SYDNEE V SNAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD3620) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002892) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2023-04-06 |