| NPI | 1568454213 |
|---|---|
| Former Name | DEENA D ERDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1723) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2723) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2014-12-30 |