| NPI | 1275033623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 969) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT-4305) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2019-10-19 |