NPI | 1013132307 |
---|---|
Former Name | MICHELLE JACQUELINE HOUDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MT 733) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |