| NPI | 1942462635 |
|---|---|
| Former Name | PAULA MARIE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5890) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1796DT) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2012-10-09 |