NPI | 1952602120 |
---|---|
Former Name | AMY MARIE BARTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: PA OEG002439) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27OA00627300) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2011-08-17 |