NPI | 1265572085 |
---|---|
Former Name | CARI LYNN LONDAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2202) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10138T) |
152W00000X Optometrist (Licence: GA OPT003292) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2021-08-17 |