NPI | 1598758393 |
---|---|
Former Name | MELISSA SUE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003363A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD869) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2018-11-05 |