| NPI | 1023637360 |
|---|---|
| Former Name | AMY LEIGHANN BADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10005) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3054) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2022-08-05 |