| NPI | 1467807933 |
|---|---|
| Former Name | ELISABETH ERIN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100425) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010983) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-07-21 |