| NPI | 1770749483 |
|---|---|
| Former Name | ALESHA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001770) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00672200) |
| 152W00000X Optometrist (Licence: MD TA2109) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-08-11 |