| NPI | 1194415190 |
|---|---|
| Former Name | ALEECE MARIE KANAI |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2887) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3228) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-09-30 |