| NPI | 1316145154 |
|---|---|
| Former Name | KATHERINE FARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1818) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2009002406) |
| 152W00000X Optometrist (Licence: IA 002390) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-09-22 |