NPI | 1093079915 |
---|---|
Former Name | CAITLIN WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60687018) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005782) |
152W00000X Optometrist (Licence: CA 14445) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2025-01-16 |