NPI | 1972733897 |
---|---|
Former Name | RAMIE LEHELEN HAZEL LAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2608) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: OK 2608) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2021-12-06 |