| NPI | 1164402939 |
|---|---|
| Former Name | ANNA FAYE SKAGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1476DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002536B) |
| 152W00000X Optometrist (Licence: NV 464) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2015-03-11 |