| NPI | 1932328994 |
|---|---|
| Former Name | JULIE A FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2006018277) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003409B) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-09-06 |