| NPI | 1083053318 |
|---|---|
| Former Name | ERICA LYNNE STUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003133) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008007-1) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-05-15 |