| NPI | 1841526126 |
|---|---|
| Former Name | AMANDA HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2088) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002924) |
| 152W00000X Optometrist (Licence: TX 7951T) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-09-23 |