NPI | 1649426735 |
---|---|
Former Name | NANCY M LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004881) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV56007351) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2016-10-18 |