| NPI | 1083817431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 660) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12747 T) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2013-08-03 |