NPI | 1205062783 |
---|---|
Former Name | KAREN BRAWNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2888) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2641) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2013-03-15 |