NPI | 1669467130 |
---|---|
Former Name | KAREN D. DUCKWORTH-REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011059) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2001029102) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2024-03-15 |