NPI | 1225174865 |
---|---|
Former Name | LASHETA D. PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1647) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1068) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-05-30 |