| NPI | 1558321208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 385) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NV 385) |
| 152WV0400X Optometrist, Vision Therapy (Licence: NV 385) | |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2018-02-15 |