| NPI | 1609007053 |
|---|---|
| Former Name | BRIDGET DAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2601) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2815) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2018-06-29 |