| NPI | 1194823336 |
|---|---|
| Former Name | PAMELA ELAINE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1805-739) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12195T) |
| 152W00000X Optometrist (Licence: NM 551) | |
| 152W00000X Optometrist (Licence: AZ 1592) | |
| 152W00000X Optometrist (Licence: TX 6697T) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-07-26 |