| NPI | 1477583466 |
|---|---|
| Former Name | JOY M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 645) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2897) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-08 |