| NPI | 1871889428 |
|---|---|
| Former Name | LAURA ANN VICKERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 278507) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 201401268) |
| 207W00000X Ophthalmology (Licence: NH 24941) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-12-13 |