| NPI | 1710936885 |
|---|---|
| Former Name | KRISTIE FECHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009735) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T03471) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-12-05 |