NPI | 1144330473 |
---|---|
Former Name | LUANNE FIACCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00003953) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 0003959) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-12-09 |