NPI | 1346793411 |
---|---|
Former Name | ASHLEY LYNN PYLANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9070TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2905) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2018-04-20 |