| NPI | 1649366113 |
|---|---|
| Other Name | CAROL ANN SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002077) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I3-0001258) |
| 152W00000X Optometrist (Licence: SC 1416) | |
| 152W00000X Optometrist (Licence: MD TA2457) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-09-09 |