| NPI | 1821289612 |
|---|---|
| Former Name | THERESA ANN MEHARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2245-ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 1955-TX) |
| 152W00000X Optometrist (Licence: AZ 1271) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |