| NPI | 1255712378 |
|---|---|
| Former Name | COURTNEY ANN MOTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5113) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00616) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-07-26 |