NPI | 1497872196 |
---|---|
Professional Name | LESLIE ANTTETTE GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA0791) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2011-11-10 |