NPI | 1194211920 |
---|---|
Other Name | KATHERINE RACHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002749) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2118DT) |
Enumeration Date | 2018-07-04 |
Last Update Date | 2020-04-29 |