| NPI | 1194004788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1110) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14236) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2021-11-11 |