| NPI | 1528589447 |
|---|---|
| Former Name | KATELYN SODER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004056A) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18004056A) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-06-19 |