NPI | 1649290941 |
---|---|
Former Name | CORINNE BEIERSDORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3046-035) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: WI 3046-035) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2025-09-25 |