NPI | 1457359010 |
---|---|
Former Name | KIRBY KAY PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1786) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2322) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2008-08-25 |