| NPI | 1952663536 |
|---|---|
| Former Name | FAITH ANN MASCHMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2012017717) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MO 2012017717) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2013-11-05 |