| NPI | 1992954531 |
|---|---|
| Former Name | ANDREA DAWN BEEDLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1802) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2008019684) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-08-17 |