| NPI | 1467010504 |
|---|---|
| Former Name | ABIGAIL ROSE HEROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT1015) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ME 14478468) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-04-10 |