| NPI | 1609810290 |
|---|---|
| Former Name | KAY L DOMBKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12568) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1492) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-06-21 |