NPI | 1821109703 |
---|---|
Other Name | SUSAN MARIANNE FOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4515) |
Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: MA 4515) |
152WV0400X Optometrist Vision Therapy (Licence: MA 4515) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-06-11 |