| NPI | 1114351921 |
|---|---|
| Former Name | ALEXANDRA SCHUETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2016005437) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002827) |
| 152W00000X Optometrist (Licence: FL OFC61) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2019-03-29 |