NPI | 1427311950 |
---|---|
Former Name | KELLEE E. RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004082A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002856) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2018-09-10 |