| NPI | 1558972331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1082) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34635) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-10-14 |