NPI | 1376514018 |
---|---|
Former Name | MARIA H EGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg-000300) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2179) |
152W00000X Optometrist (Licence: DC OP1000396) | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2021-06-11 |