| NPI | 1376743443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 586) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NM 2023-0005) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-04-09 |