| NPI | 1104885037 |
|---|---|
| Former Name | AMANDA RAE ZELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MD TA1930) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MD TA1930) |
| 152WS0006X Optometrist, Sports Vision (Licence: MD TA1930) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-02-07 |