| NPI | 1922314137 |
|---|---|
| Former Name | LAURA E GENGELBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: KS 2016) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-05-29 |