| NPI | 1992169247 |
|---|---|
| Former Name | KAYLA AVIRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9166TG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-06-02 |