| NPI | 1952672388 |
|---|---|
| Former Name | MELISSA ANN LIEPINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010451) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2011037693) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2015-10-30 |