| 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 |