NPI | 1508168949 |
---|---|
Former Name | KRISTEN L HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003649A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1432) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2015-01-26 |