| NPI | 1417579194 |
|---|---|
| Former Name | ABIGAIL LORRAINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: MO 2021021137) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2021021137) |
| 152W00000X Optometrist (Licence: AL S-E63-TA-B74) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2022-08-09 |