NPI | 1952718413 |
---|---|
Former Name | HOLLY MARIE KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT959) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002902) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2023-10-12 |