| NPI | 1841473063 |
|---|---|
| Former Name | ANGEL MICHELLE NOVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2004035653) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010023) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-06-10 |