NPI | 1215319165 |
---|---|
Former Name | EMILY COLE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002874) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3000) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2022-08-18 |