| NPI | 1740957570 |
|---|---|
| Former Name | ASHLYN BROOK LAVINDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003125) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2664) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2025-03-25 |