| 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 |