| NPI | 1922333004 |
|---|---|
| Other Name | AMY LEANNE PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14428TLG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2022-01-11 |