NPI | 1457574576 |
---|---|
Former Name | STEPHANIE SUZANNE HELM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5703TG) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 5703tg) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 5703T) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2021-09-14 |