| NPI | 1992533178 |
|---|---|
| Former Name | LAURA MICELA OSBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1684) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ND 820) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-11-20 |