NPI | 1184615981 |
---|---|
Former Name | AMANDA MARIE GALSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 3119T) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2011-09-29 |