| NPI | 1457308793 |
|---|---|
| Former Name | AVA KISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34143) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 34143) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-10-18 |