| NPI | 1740621424 |
|---|---|
| Former Name | KATIE JO TEMPAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.003297) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002820) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-07-21 |