| NPI | 1215319496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1124) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15226TLG) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-01-26 |