| NPI | 1629418983 |
|---|---|
| Other Name | MICHELLE MIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33588TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00647400) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2017-02-03 |