| NPI | 1982906194 |
|---|---|
| Former Name | KRISTIN RENEE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MT OPT-OPT-LIC-4265) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1780) |
| 152W00000X Optometrist (Licence: MT 821) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2021-11-18 |