| NPI | 1619231693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 734) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14571) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-02-11 |