| NPI | 1134166465 |
|---|---|
| Former Name | DONNA MARIE KISH-MAHAFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH OH4566/T1309) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-08-31 |