| NPI | 1235494915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10273) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 313) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2014-02-12 |