| NPI | 1093024176 |
|---|---|
| Former Name | CHRISTINE WAHLSTEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100272) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60369639) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2022-09-03 |