| NPI | 1518605484 |
|---|---|
| Former Name | CLAIRE ELISE KEATING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3164) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2022-12-12 |