| NPI | 1609130988 |
|---|---|
| Former Name | JULIA MARIE UMSTEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 683) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14408) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2016-09-27 |