| NPI | 1548212590 |
|---|---|
| Other Name | HEIDI HANISCH-DOTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1033) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 02209) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |