| NPI | 1801043021 |
|---|---|
| Former Name | SUSAN GAYLE BARNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4295) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007527) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-07-20 |