| NPI | 1184607095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 447) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12508 TPA) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-06-01 |