| NPI | 1235524851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 910) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15440 TLG) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-11-13 |