NPI | 1992068910 |
---|---|
Former Name | ANNE MARIE SIMENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3324) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003739) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2022-07-21 |