NPI | 1205990835 |
---|---|
Former Name | CHRISTINE SIEBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV nv349) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NV nv349) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |