NPI | 1316955768 |
---|---|
Former Name | KATHRYN D NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13172T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3929) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2021-12-22 |