NPI | 1528025582 |
---|---|
Former Name | BRIDGETTE D DOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6991TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001388) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2023-06-26 |