| NPI | 1295162642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 4588) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 771) |
| 152W00000X Optometrist (Licence: CA 14754) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-03-17 |