NPI | 1619915105 |
---|---|
Former Name | PAULA SUE MEIRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-009355) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3712) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2023-08-29 |