NPI | 1093232456 |
---|---|
Former Name | CAILYN CHRISTINE KATSEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA Opt33892tlg) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2017020394) |
Enumeration Date | 2017-08-26 |
Last Update Date | 2022-10-18 |