| NPI | 1881626000 |
|---|---|
| Former Name | ERIN JANE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3380-ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3380AT) |
| 152W00000X Optometrist (Licence: CT 002680) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-04-11 |