NPI | 1861427767 |
---|---|
Former Name | GINA ANN STOKES-JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2971) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6689T) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-12-23 |