| NPI | 1609006790 |
|---|---|
| Former Name | CHRISTA NICOLE MCPEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000003088) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1784DT) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-10-18 |