| NPI | 1073066106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 963) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33471) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2022-04-19 |