| NPI | 1235624131 |
|---|---|
| Former Name | CRYSTAL MEGAN HOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E12) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AL S-E12) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |