| NPI | 1699000778 |
|---|---|
| Former Name | AMANDA MCVAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD 60360385) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2911) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2021-04-07 |