NPI | 1427462258 |
---|---|
Former Name | HANNA RAE FROEHLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 105281) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3395) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2016-12-22 |