| NPI | 1366504839 |
|---|---|
| Former Name | ADRIENNE R. RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-956-TA-546) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD0000003441) |
| 152W00000X Optometrist (Licence: GA OPT001886) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-11-06 |