| NPI | 1336945773 |
|---|---|
| Former Name | BROOKE ELIZABETH SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2025024660) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-07-04 |