| NPI | 1770144495 |
|---|---|
| Former Name | MARY K PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2796) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AR 2796) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-04-18 |