| NPI | 1184632481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 473) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12251T) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |