NPI | 1023503810 |
---|---|
Former Name | ARIEL WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002324) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT34381-TLG) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2022-09-27 |