| NPI | 1770932147 |
|---|---|
| Former Name | ASHLEY VERDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008423) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-04-17 |