| NPI | 1801803994 |
|---|---|
| Former Name | MALEAH E FARNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1642DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003355A) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-02-10 |