| NPI | 1205039674 |
|---|---|
| Former Name | ANDREA NICOLE CAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007042) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007042) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-08-28 |