NPI | 1265662381 |
---|---|
Former Name | TARAN L KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR ATI4667) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2607) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2024-08-29 |