| NPI | 1780991133 |
|---|---|
| Former Name | KIMBERLY DAWN KNOBLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003662A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 346.003630) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2018-03-27 |