| NPI | 1083870299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 773) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13523) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2014-10-23 |