| NPI | 1518315365 |
|---|---|
| Former Name | KAYLA LEA SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D57-TA-A59) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AL S-D57-TA-A59) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-07-22 |