NPI | 1194053652 |
---|---|
Former Name | ROSANNA RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 3314) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC3314) |
Enumeration Date | 2009-11-21 |
Last Update Date | 2009-11-21 |