| NPI | 1285755322 |
|---|---|
| Former Name | HEATHER M TEETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD635) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12888) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-10-05 |