| NPI | 1417943168 |
|---|---|
| Former Name | DAWN D WORMINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1761) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT 2382) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-05-24 |