| NPI | 1063529311 |
|---|---|
| Former Name | ANNE MARIE TAYLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2731ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3510) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |