| NPI | 1770622045 |
|---|---|
| Former Name | MARY BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1055) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 119076) |
| 152W00000X Optometrist (Licence: AK 197606) | |
| 152W00000X Optometrist (Licence: AZ OPT-002560) | |
| 152W00000X Optometrist (Licence: TX 7041TG) | |
| 152W00000X Optometrist (Licence: MN 3858) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-09-30 |