| NPI | 1831295906 |
|---|---|
| Former Name | SHANNON REBECCA MAYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618000198) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000198) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-01-02 |