| NPI | 1871013250 |
|---|---|
| Former Name | KIMBERLY HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004058A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011129) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-10-17 |