| NPI | 1972023646 |
|---|---|
| Former Name | ARIEL MARION JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2523) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2017017413) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO 2017017413) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-02-17 |