| NPI | 1346450533 |
|---|---|
| Former Name | MARY CATHERINE PAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1719DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5648) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-11-08 |