| NPI | 1144420142 |
|---|---|
| Former Name | SHANNON LYN DALY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6347) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007147-1) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-02-01 |