| NPI | 1275374837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1203) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35747) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-07-30 |