| NPI | 1417949413 |
|---|---|
| Former Name | SPRING LUELLEN PANKRATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2584) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0118 000737) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0601 002302) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-09-14 |