| NPI | 1164402608 |
|---|---|
| Former Name | SANDRA BOZICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1098) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12111-T) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-10-11 |