| NPI | 1912310897 |
|---|---|
| Former Name | KATE L DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1816) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: SC 1816) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-08-26 |