| NPI | 1821445776 |
|---|---|
| Former Name | AMY LYNN SICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3361) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002514) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-06-30 |