| NPI | 1851310817 |
|---|---|
| Former Name | REGINA KATHLEEN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY KY1313DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1313DT) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-01-22 |