NPI | 1295397016 |
---|---|
Former Name | APRIL MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3519) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2183) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2024-08-02 |