| NPI | 1144387309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 505) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12635 T) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-08-24 |