| NPI | 1528288669 |
|---|---|
| Former Name | AMANDA B RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA c154815) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101254763) |
| 207W00000X Ophthalmology (Licence: MD D79626) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2024-08-15 |