| NPI | 1043207236 |
|---|---|
| Former Name | WENDY HOWERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1560) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03465) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-12-06 |