NPI | 1598706608 |
---|---|
Former Name | CAREY ELIZABETH MCNEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1564) |
Additional Taxonomies | 152W00000X Optometrist (Licence: DE I3-0001286) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2015-09-14 |