NPI | 1649364704 |
---|---|
Professional Name | AMY HAVENS LOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2072) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH OH4839) |
152WP0200X Optometrist, Pediatrics (Licence: OH OH4839) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-06-04 |