| NPI | 1518035443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10941) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 433) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-05-12 |