| NPI | 1992060594 |
|---|---|
| Former Name | ANDREA T SEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3342) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004708) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2013-11-26 |