NPI | 1932349958 |
---|---|
Former Name | SUNNI HOUSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD TA2101) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2101) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2014-04-09 |