| NPI | 1619126364 |
|---|---|
| Former Name | JULIE A MASTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004512) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003551) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-01-13 |