| NPI | 1235485152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14417) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 743) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2022-03-07 |