NPI | 1134118912 |
---|---|
Former Name | CHERYL L. VINCENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003092) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901003092) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2021-01-18 |