NPI | 1134566391 |
---|---|
Former Name | CHRISTY CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8458TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60340101) |
152W00000X Optometrist (Licence: TX 8458T) | |
Enumeration Date | 2013-05-29 |
Last Update Date | 2024-12-23 |