NPI | 1780785717 |
---|---|
Former Name | BRANDALYN PLUMLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2494) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2634) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-07-15 |