NPI | 1144624818 |
---|---|
Former Name | CONSTANCE RUTH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1972) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1972) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2014-10-09 |