NPI | 1386027241 |
---|---|
Former Name | EMILY RENAE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004898) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004898) |
152WP0200X Optometrist, Pediatrics (Licence: MI 4901004898) | |
152WX0102X Optometrist, Occupational Vision (Licence: MI 4901004898) | |
Enumeration Date | 2015-07-09 |
Last Update Date | 2015-07-09 |