NPI | 1063767580 |
---|---|
Former Name | MELISSA D HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003753A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003753B) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2018-06-06 |