| NPI | 1245344761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 558) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13051) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-09-26 |