NPI | 1063084101 |
---|---|
Former Name | AMY E WHERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00706900) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003851) |
Enumeration Date | 2021-07-16 |
Last Update Date | 2022-01-28 |