| NPI | 1417212481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 768) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1865) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-02-18 |