| NPI | 1497944615 |
|---|---|
| Former Name | MAGGIE L SUBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 665) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2609) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2014-08-01 |