NPI | 1285721076 |
---|---|
Professional Name | CAROLYN L GROUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3086TX) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00003086) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2022-06-09 |