| NPI | 1558599621 |
|---|---|
| Former Name | MAVIS JO ARMBRUSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3360) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5012) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2018-11-07 |