| NPI | 1639327232 |
|---|---|
| Former Name | SAMANTHA D LOCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60163091) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010128) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-01-04 |