NPI | 1164467882 |
---|---|
Former Name | ARLENE T DEEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2-336) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM 2-336) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2007-10-23 |