NPI | 1073654430 |
---|---|
Former Name | HEATHER MARIE SCHEEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2259) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: WI 2259) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2009-09-11 |