| NPI | 1548548068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14190 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 1024) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2023-08-09 |