NPI | 1831262435 |
---|---|
Other Name | SHERRY L JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1025) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006582) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2018-03-28 |