| NPI | 1316222466 |
|---|---|
| Former Name | TARA ELIZABETH EVANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60485177) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR ATI3651) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2025-04-22 |