| NPI | 1063230472 |
|---|---|
| Former Name | MADELINE MOSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005936) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011926) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2026-06-23 |