NPI | 1619917374 |
---|---|
Former Name | ROSEMARY ANNE GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL 4027) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2013-09-17 |