NPI | 1215954706 |
---|---|
Former Name | KAREN GILMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10029) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2421) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2017-01-31 |