| NPI | 1265655443 |
|---|---|
| Former Name | LAURA MARIE FRISBIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.009777) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2041) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-05-12 |