NPI | 1154552453 |
---|---|
Former Name | KAREN L HEANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I30011427) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002275) |
Enumeration Date | 2009-08-04 |
Last Update Date | 2022-11-23 |