NPI | 1871512731 |
---|---|
Former Name | KIMBERLY S SPANGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5660) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13027) |
152W00000X Optometrist (Licence: NE 1295) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-05-07 |