NPI | 1972666782 |
---|---|
Other Name | DIANE P REDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO T02756) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO T02756) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2015-10-15 |