| NPI | 1649476698 |
|---|---|
| Former Name | MELISSA SUE HUMMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT1035) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001920) |
| 152W00000X Optometrist (Licence: CO OPT.0003117) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-07-26 |