| NPI | 1184710725 |
|---|---|
| Former Name | KATIE CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9874) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002987B) |
| 152W00000X Optometrist (Licence: CO 2421) | |
| 152W00000X Optometrist (Licence: CA 13459T) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-17 |