NPI | 1295129773 |
---|---|
Former Name | SHARHONDA ANTOINETTE BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2412) |
Additional Taxonomies | 152WX0102X Optometrist Occupational Vision (Licence: NC 2412) |
152WC0802X Optometrist Corneal and Contact Management (Licence: NC 2412) | |
152WP0200X Optometrist Pediatrics (Licence: NC 2412) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2020-08-05 |