| NPI | 1114288313 |
|---|---|
| Former Name | LAURA NOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003723A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1883DT) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2016-05-12 |