NPI | 1700193067 |
---|---|
Former Name | KATHERINE A STOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61076823) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7658T) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2021-01-22 |