| NPI | 1265817902 |
|---|---|
| Former Name | AMIE MIRANDA GAITHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-250-TA-A63) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2860) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2025-01-06 |