| NPI | 1477939478 |
|---|---|
| Former Name | CHELSEA RAYNA TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 5176) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1995DT) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-09-09 |