NPI | 1124168836 |
---|---|
Other Name | REBECCA A. LONG-GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002310A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002310B) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2017-02-15 |