NPI | 1891887154 |
---|---|
Former Name | KAREN LYN BORCHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1145) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NE 1145) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-02-08 |