NPI | 1710072038 |
---|---|
Former Name | SAMANTHA HAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4189) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002269) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-12-12 |