| NPI | 1396092961 |
|---|---|
| Former Name | MELISSA MARIE SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1926) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2012017234) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2013-11-10 |