NPI | 1811329923 |
---|---|
Former Name | ADRIENNE PYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 4780881-9934) |
Additional Taxonomies | 152W00000X Optometrist (Licence: UT 4780878-8904) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2015-06-06 |