NPI | 1396834115 |
---|---|
Former Name | EVA LYNNE KENNINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4499T) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 4499T) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2014-03-27 |