| NPI | 1780995282 |
|---|---|
| Former Name | KRISTIN SKREDENSKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2010020771) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010434) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-10-03 |