| NPI | 1124474523 |
|---|---|
| Former Name | BRIDGET HEIDI GARRITY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002953) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5094) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-09-16 |