NPI | 1306221049 |
---|---|
Former Name | BRITTANY LYNN TOUNSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003231) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011290) |
152W00000X Optometrist (Licence: MO 2015024951) | |
Enumeration Date | 2015-07-23 |
Last Update Date | 2023-11-13 |