NPI | 1457649261 |
---|---|
Former Name | GAYLE E LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2292) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
152W00000X Optometrist (Licence: VA 0618002120) | |
Enumeration Date | 2011-07-13 |
Last Update Date | 2013-11-07 |