| NPI | 1285610741 |
|---|---|
| Former Name | CAROL L IRELAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003343) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1778DT) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2011-10-25 |