NPI | 1770861411 |
---|---|
Former Name | ALLYSON FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003893B) |
Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1610-643T) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2023-11-09 |