| NPI | 1275616930 |
|---|---|
| Former Name | ABBIE MARIE STENSLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3110ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3965) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |