NPI | 1265481998 |
---|---|
Former Name | KATHLEEN FRASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OE-008157-P) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2007-07-08 |