| NPI | 1780707901 |
|---|---|
| Former Name | AIMEE KOREN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4197) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004182) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-09-19 |