NPI | 1730339276 |
---|---|
Former Name | ANN MORGAN TARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1748DT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN2802) |
152W00000X Optometrist (Licence: OH 5823) | |
Enumeration Date | 2008-09-21 |
Last Update Date | 2024-09-25 |