NPI | 1841236635 |
---|---|
Former Name | DIANE G WERKMEISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02765) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MO T02765) |
152WP0200X Optometrist, Pediatrics (Licence: MO T02765) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2008-12-22 |