| NPI | 1205241593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14989) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 813) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-01-03 |