| NPI | 1235569807 |
|---|---|
| Former Name | AMANDA MARIE TAWADROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002515) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003825A) |
| 152W00000X Optometrist (Licence: WA 60398529) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2024-03-04 |