| NPI | 1457310500 |
|---|---|
| Former Name | DIANA LYNN HOLCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11307TPG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 1107T) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2020-05-14 |