NPI | 1861165870 |
---|---|
Former Name | PAIGE ROBIN SHERMIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005579) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006993) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-01-05 |