NPI | 1912094723 |
---|---|
Former Name | ANNE C CLOUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL R146-TA679) |
Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1044-282T) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-02-16 |