| NPI | 1215564513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1058) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34625) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-06-30 |