NPI | 1114917028 |
---|---|
Former Name | PAMELA LYNN HELBRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1477) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC03074) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2022-04-04 |