NPI | 1952430910 |
---|---|
Former Name | SUNNY STIMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7304T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13060 T) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2014-09-19 |