| NPI | 1063726941 |
|---|---|
| Former Name | KINSEY RACHEL RIVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1876) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2010022777) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-05-20 |