| NPI | 1336556091 |
|---|---|
| Former Name | KATHRYN ROSE VAN DEN EINDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3402) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ND 720) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-08-31 |