| NPI | 1407160351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 690) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14050) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-04-01 |