NPI | 1518111574 |
---|---|
Former Name | JILL MAGARGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 804) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL s-b95-ta-806) |
152W00000X Optometrist (Licence: NM 603) | |
Enumeration Date | 2008-11-04 |
Last Update Date | 2014-08-09 |