NPI | 1295953743 |
---|---|
Professional Name | TANIA COY GARDINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT863) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR4842) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2014-03-20 |