| 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 |