| NPI | 1528449246 |
|---|---|
| Former Name | KELSEY ALLYSE THOMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: OH OPT.6434-THER) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5090) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-11-05 |