| NPI | 1952396707 |
|---|---|
| Former Name | STEPHANIE L PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 3082) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2700) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2019-12-17 |