NPI | 1992812457 |
---|---|
Former Name | DAWN MARIE ALLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2875T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003746) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-08 |