NPI | 1437406881 |
---|---|
Former Name | CASSANDRA RUTH DONAUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002876) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 56 007897) |
Enumeration Date | 2012-08-04 |
Last Update Date | 2013-07-12 |