NPI | 1689050437 |
---|---|
Former Name | LYNSEY RITA HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1923-862AT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60572980) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2022-05-04 |