NPI | 1619046687 |
---|---|
Former Name | SHERRI CHRISTINE FAUVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5396TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1964) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-01-16 |