| NPI | 1003196882 |
|---|---|
| Former Name | ANNIE MARIE MOSIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1986) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: KS 1986) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2023-01-05 |