NPI | 1295060382 |
---|---|
Former Name | MEGAN ELISE BARBOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ND 697) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3294) |
152W00000X Optometrist (Licence: WI 3277-35) | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2019-04-30 |