| NPI | 1043707201 |
|---|---|
| Former Name | KATHERINE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10837) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011185) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-06-30 |