NPI | 1912236761 |
---|---|
Other Name | AMANDA BRANDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001341) |
Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: DE 13-0001341) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2021-01-27 |