| NPI | 1346325545 |
|---|---|
| Former Name | TERESA ANN NELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003990) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001404) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-08-08 |