| NPI | 1114554045 |
|---|---|
| Former Name | SYDNI KAYE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002432) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2020014779) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-10-14 |