NPI | 1427212539 |
---|---|
Former Name | MICHELLE BREHM CHOPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010307) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2008019711) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2009-11-30 |