NPI | 1558524397 |
---|---|
Former Name | ELIZABETH MARIE GARLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT969) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4408) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2022-07-21 |