NPI | 1265894133 |
---|---|
Former Name | BRITTANY LAUREN BRINKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2438) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4499) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-03-18 |