| NPI | 1770776353 |
|---|---|
| Former Name | MELISSA ANN MCKAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100415) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13329 T) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2023-06-07 |