| NPI | 1528685948 |
|---|---|
| Former Name | MADISON ABBEY GALLIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT1081) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 152W00000X Optometrist (Licence: VA 0618002923) | |
| 152W00000X Optometrist (Licence: KY 2221DT) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-06-21 |