| NPI | 1104057116 |
|---|---|
| Former Name | REBECCA SUE STECKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3462) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1334) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2017-01-26 |