NPI | 1447215017 |
---|---|
Former Name | ELIZABETH R. COLLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7036TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA CA11809T) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2011-02-20 |