| NPI | 1003220880 |
|---|---|
| Former Name | ABBY BRUBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002936) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5083) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-05-31 |