| NPI | 1710339692 |
|---|---|
| Former Name | KARA LYNN VITUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003255) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT6586) |
| 152W00000X Optometrist (Licence: TN 3295) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-09-20 |