| NPI | 1881651511 |
|---|---|
| Former Name | AMANDA JO SCHOFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009775) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3024035) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-12-27 |