| NPI | 1043704794 |
|---|---|
| Former Name | TIFFANY NICOLE HOOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00662) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5309) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2023-12-11 |