NPI | 1447201322 |
---|---|
Former Name | MICHELLE CALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1565) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2295) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2007-07-08 |